Active NPI
Christina Susanne Johnson, FNP-C
- Family Nurse Practitioner
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 317529
- Practice address
- 11749 W Lone Mountain Pkwy Unit 105
Peoria, AZ 85383-6801 - Phone
- (480) 677-8282
- Fax
- (844) 470-2777
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | C-APN.0103396-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | AP61635778 | WA | |
| Family Nurse Practitioner | 363LF0000X | 13794235-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | RN176056 | GA | |
| Family Nurse Practitioner | 363LF0000X | 101.0137534 | VT | |
| Family Nurse Practitioner | 363LF0000X | TPAN2704 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0038228 | OH | |
| Family Nurse Practitioner | 363LF0000X | 317529 | AZ | Primary |
Addresses
Primary practice location
11749 W Lone Mountain Pkwy Unit 105
Peoria, AZ 85383-6801
Mailing address
261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171842 | Medicaid | AZ |
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Preventive Medicine/Occupational Environmental Medicine Physician
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- NPI 1912763517
UT
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1023828431
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1396466231
-
- Family Medicine Physician
- Orem, UT
- NPI 1285982108
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Family Medicine Physician
- San Tan Valley, AZ
- NPI 1063573079
-
- Family Medicine Physician
- Peoria, AZ
- NPI 1871318055
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Good Health Medical PLLC
Practice addresses (Care Compare)
240 N E Promontory Ofc
Suite 228
Farmington, UT 84025-2950
Phone (801) 631-3570
7435 W Cactus Rd
Suite a 125
Peoria, AZ 85381-5300
Phone (480) 677-8282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, UT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104001234 | GA | Practitioner - Nurse Practitioner | 6507050309 | Reassigns benefits to 1 organization |
| I20250109001955 | UT | Practitioner - Nurse Practitioner | 6507050309 | Reassigns benefits to 2 organizations |
| I20250311002767 | AZ | Practitioner - Nurse Practitioner | 6507050309 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317529 | AZ | MD | Family Nurse Practitioner |
| C-APN.0103396-C-NP | CO | MD | Family Nurse Practitioner |
| TPAN2704 | FL | MD | Family Nurse Practitioner |
| APRN.CNP.0038228 | OH | MD | Family Nurse Practitioner |
| 13794235-4405 | UT | MD | Family Nurse Practitioner |
| 101.0137534 | VT | MD | Family Nurse Practitioner |
| AP61635778 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Crystal Health Solutions Michigan LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Theramed Health, LLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Past | Accepting new patients | |
| Good Health Medical, PLLC | Past | Accepting new patients |
Locations
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
1121 S Higley Rd
Ste 106
Mesa, AZ 85206
11749 W Lone Mountain Pkwy
Unit 105
Peoria, AZ 85383
7435 W Cactus Rd
Ste A125
Peoria, AZ 85381
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
3950 Cobb Pkwy NW
Ste 401
Acworth, GA 30101
Phone (404) 857-9575
3250 Quick Water Lndg NW
Kennesaw, GA 30144
Phone (404) 857-9575
240 N East Promontory
Ofc 228
Farmington, UT 84025
Phone (801) 631-3570
240 N East Promontory
Ofc
Farmington, UT 84025
Phone (801) 631-3570
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
721 N Main St
Layton, UT 84041
1424 E Foremaster Dr
Ste 140
St George, UT 84790
Phone (435) 251-2888
Interoperability endpoints
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1376858746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 N ROOSEVELT AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262617",
"telephone_number": "480-677-8282",
"fax_number": "844-470-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11749 W LONE MOUNTAIN PKWY UNIT 105",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853836801",
"telephone_number": "480-677-8282",
"fax_number": "844-470-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHRISTINA",
"middle_name": "SUSANNE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0103396-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61635778",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "13794235-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN176056",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VT",
"license": "101.0137534",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "TPAN2704",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0038228",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "317529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171842",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.